| Midtown Physicians, S.c. | |
|
6538 Cermak Rd Berwyn IL 60402-2899 | |
| (708) 795-8900 | |
| (708) 788-0772 |
| Full Name | Midtown Physicians, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6538 Cermak Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Dilip P Patel (PHYSICIAN OWNER) |
| Authorized Official Contact | 6307180200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Physicians, S.c. 1730 Park St Suite 101 Naperville IL 60563-2688 Ph: (630) 718-0200 | Midtown Physicians, S.c. 6538 Cermak Rd Berwyn IL 60402-2899 Ph: (708) 795-8900 |
| NPI Number | 1295792877 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507767944 |
|---|---|
| Medicare Enrollment ID | O20040119000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295792877 | NPI | - | NPPES |
| 01617529 | Other | IL | BLUE CROSS / BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dilip P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407814569 PECOS PAC ID: 2668373028 Enrollment ID: I20040207000299 |
| Provider Name | Krishna D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114985264 PECOS PAC ID: 4385537729 Enrollment ID: I20040207000322 |
| Provider Name | Yili Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043278120 PECOS PAC ID: 1254224694 Enrollment ID: I20040207000352 |
| Provider Name | Mohammed A Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386602431 PECOS PAC ID: 7315830759 Enrollment ID: I20040207000361 |
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